0001715475-19-000001.txt : 20190408 0001715475-19-000001.hdr.sgml : 20190408 20190408095155 ACCESSION NUMBER: 0001715475-19-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(7) FILED AS OF DATE: 20190408 DATE AS OF CHANGE: 20190408 EFFECTIVENESS DATE: 20190408 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lombard International Life Assurance Co Separate Account VL 176 CENTRAL INDEX KEY: 0001715475 IRS NUMBER: 520795747 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-293890 FILM NUMBER: 19736639 BUSINESS ADDRESS: STREET 1: ONE LIBERTY PLACE, 1650 MARKET STREET STREET 2: 54TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 BUSINESS PHONE: (484) 530-4800 MAIL ADDRESS: STREET 1: ONE LIBERTY PLACE, 1650 MARKET STREET STREET 2: 54TH FLOOR CITY: PHILADELPHIA STATE: PA ZIP: 19103 D/A 1 primary_doc.xml X0708 D/A LIVE 0001715475 Lombard International Life Assurance Co Separate Account VL 176 ONE LIBERTY PLACE, 1650 MARKET STREET 54TH FLOOR PHILADELPHIA PA PENNSYLVANIA 19103 (484) 530-4800 PENNSYLVANIA None None Other insurance company separate account true 2017 LILAC Lombard International Life Assurance Company One Liberty Place 1650 Market St., 54th Floor Philadelphia PA PENNSYLVANIA 19103 Promoter Issuer is an insurance company separate account formed under Pennsylvania insurance law. Pooled Investment Fund Other Investment Fund false Decline to Disclose 06b 3C 3C.7 true 0001715475-17-000001 2017-08-22 true true true variable life insurance contracts false 0 Niagara International Capital Limited 135327 Jason R. Zimmerman 2672423 16935 W. Bernardo Drive Suite 140 San Diego CA CALIFORNIA 92127 AK ALASKA false Chalice Capital Partners, LLC 288898 Jason R. Zimmerman 2672423 10920 Via Frontera Suite 520 San Diego CA CALIFORNIA 92127 AK ALASKA false Indefinite 1100000 Indefinite false 1 14949 0 Issuer pays sales commissions which are equal to a percentage of premium received by the Issuer. LILAC will also pay sales commissions from its corporate resources. 19120 Amount shown represents the total of all DAC tax, state premium tax, and underwriting charges. false Lombard International Life Assurance Co Separate Account VL 176 /s/ Paul Ryan Henry Paul Ryan Henry Senior Director & Counsel 2019-04-08